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a�s-7eo-oo�o City of Zephyrhi,ls Permit Application FaX a�sasaoo2� <br /> Buitdin Department <br /> Date Receivsd - �:- � phane-Contact fo Permttfin <br /> pw�g��g N�m$ � Owrner Phane Number <br /> Owner's Address 1 � Qwner Phone Number �� � <br /> Fee Simple 71tleholder.Name Owner Rhone Number �� � <br /> Fee Sfmple Titlehalder Address <br /> JOB ADDRESS t LQT# � <br /> SUBdIV1310N �1Q Q S'��.. dO�Cb PARCE ID# <br /> � (OBTAINED FRQM PRdpERTY TAX NOTIGE) <br /> wqRK PROPOSED NEW CdNSTR ADDlAL [� SIGN Q Q DEMQLISN <br /> � INSTALL 8 REPAIR <br /> PROPQSED USE SFR Q CQMM L� QTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ����� ���� ��VR-� �� '��.1 ?��7 <br /> BUILDING SIZE � � SQ FOOTAGE HEiGHT ��� ���'����� <br /> �BUILDING $ � pO� , VALUATION OF TOTAL CONSTRUCTtON <br /> �EIECTR)CAl $ t��� � AMP'SERVI E Q PROGRESS ENERGY Q W.F2.E.C. <br /> QPIUMBfNG �s_--_i� � ����f� <br /> � LJ <br /> QMECHANIGAI. $ VAl.UATtO OF MECHANICAL INSTALIATION <br /> [�GAS Q FtOOFING Q SPECI TY � OTHER <br /> FINISHED FLOOFt ELEVATIONS � FLOO ZONE AREA QYES NO <br /> BUILDER �~'�~�"� � �MPANY ��� �1�'�"Q. <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N- <br /> Address License# � � <br /> '� �3�� �." <br /> ELECTRICtAN /�^��� ` COMPANY G.�� <br /> SIGNATURE ��~ R GISTERED Y/ N FEE CURRE� Y/N <br /> Address (.icense# � � <br /> P�UMBER C MPANY <br /> SIGNATURE R GISTERED Y/ N' FEE CuRREA Y/N <br /> Address License# � � <br /> MECMANICA! C MPANit <br /> SIGNATURE R GISTERED Y/ N FEE cuw2E� Y/N <br /> Address �icense# � � <br /> OTNER COMRANY <br /> �IGNATURE R�GIS7ERED Y/ N FEE CURREA Y/N. <br /> Address - - - -- - - - - - ( - -- license# � --- -- - - � <br /> l2ES1DENTIAL - Attacti(2}Plat Rlatts;{2}sets af Suilding"Plans;{1 j s af Energy Forms;R-O-V1t Petinit for new constnsotion, <br /> Minimum,ten.(.1.0).working�days after,submittal date. equired onsite,Construcdon Plans;Stormwater Plans w!Siit Fence instalied, <br /> 8anitary FaciliUes&1:dumpster,Slte Work Rermit#o subdivisionsAa►ge proJects <br /> GOMMBRCIAL Attach(3}comptete sefs of Bailding Pians pSus a Life�Safety Fage;{1}set of Energy Farms.R-O W Permit tor new cans#suctlon. <br /> � Minimum ten(10)working days after submfttal date. 'Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facl{ides&1 dumpster.Site Wark Pertnit fo�.aU new proJects.All commercial requirements must meet compllance <br /> SIGN PERMIT Attacii"(2}se#s of Eflglneered Plans.�. ° �• ' . <br /> ••"PROPERTY SURVEY required far all NEW cons ct(on. <br /> Dtrection$: <br /> Fill out application completely. <br /> Owner&Cantractor slgn back of appitcatlon,notarized <br /> tf aver�2500,a Nottce of Commencement is required. (A!C upgrades over 5�7500) <br /> '" Agent(for the contractor)or Power of Attomey(for the ow�er).woul be spmeone with notarized letter from owner authorizing same <br /> ._ rr:>..-.�. , � , `•:,,,:, ':: <br /> OVER TME COUNTER P.ERM11TiNG�� (Front of.Appiication'Oniy)� :_ . � <br /> Reroofs if shingles Sewers �;Service Upgrades'�i4/C"' ' Fen'es(PIoUSurvey/Footage) <br /> ?, � . � . .. -; � <br /> Driveways-Not over Counter if on putilic roadways:,needs;ROW.t.�•�:_�_••�- - <br />